Advances in the clinical application of orthotic devices for stroke and spinal cord injury since 2013

Abstract

Stroke and spinal cord injury are common neurological disorders that can cause various dysfunctions. Motor dysfunction is a common dysfunction that easily leads to complications such as joint stiffness and muscle contracture and markedly impairs the daily living activities and long-term prognosis of patients. Orthotic devices can prevent or compensate for motor dysfunctions. Using orthotic devices early can help prevent and correct deformities and treat muscle and joint problems. An orthotic device is also an effective rehabilitation tool for improving motor function and compensatory abilities. In this study, we reviewed the epidemiological characteristics of stroke and spinal cord injury, provided the therapeutic effect and recent advances in the application of conventional and new types of orthotic devices used in stroke and spinal cord injury in different joints of the upper and lower limbs, identified the shortcomings with these orthotics, and suggested directions for future research.

The Upper Limb Orthosis in the Rehabilitation of Stroke Patients: The Role of 3D Printing

“…On the other hand, one of the most controversial arguments about the application of 3DP in clinical practice is represented by the high cost of 3D printers, software, maintenance and training of healthcare professionals that could require a high initial investment, but the long-term production could make the implementation of this technology cost-effective. In particular, when considering more complex designs such as exoskeletons or robotic orthoses, 3D printing could be a valuable solution [4,115,125].…”

Comparison between prefabricated ankle–foot orthoses, Dyna Ankle and UD Flex, in patients with hemiplegia

“…[8][9][10][11][12] When prescribing ankle-foot orthoses (AFOs), it is important to carefully consider the available options, which can vary in terms of articulation, material, price, and whether they are prefabricated or custommade. 13 Among the various types of AFOs, the Dyna Ankle V R (DA; Ottobock HealthCare GmbH, Duderstadt, Germany) and the UD Flex V R (UD; Advanfit Inc., Kumamoto, Japan) are widely used because they are prefabricated, light, easy to wear, and cost-effective.…”